症在急性精神病学住院患者的设置:患病率,治疗差距和死亡率
Nyakomi Adwok1, Risha Govind2, Irene Faiman3
1Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom; South London and Maudsley NHS Foundation Trust (SLaM), London, United Kingdom.
Epilepsy & behavior : E&B
|January 8, 2025
概括
影响了3%的急性精神病医院住院患者,他们面临更高的死亡风险. 这凸显了对伴随性和严重精神疾病患者的更好的护理协调和患者倡导的需要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 的研究往往忽视了急性精神病学环境,阻碍了对伴随性和严重精神疾病的个体的护理.
- 这项研究通过检查精神病医院住院患者的发病率和结果来弥补这一差距.
研究的目的:
- 为了确定在急性精神病医院住院患者中的患病率.
- 调查与此群体治疗结果相关的社会人口统计学和临床因素.
- 分析患有的人与没有的人之间的死亡率预测因素.
主要方法:
- 对来自伦敦南部精神病房的9237份电子病历 (2015-2019) 进行了回顾性分析.
- 检查社会人口学变量,抗发作药物 (ASM) 处方和神经病学服务的参与.
- 卡普兰-梅尔和考克斯回归分析以确定死亡率预测因素.
主要成果:
- 在精神病医院住院患者中,终身发病率为3%.
- 患有的人经常接受多种ASM (64.1%),但只有有限的专家神经学输入 (32.6%).
- 与43%的死亡风险增加有关 (HR=1.43,p=0.01),特别是在社会经济贫困地区 (72.8%).
结论:
- 在急性精神病治疗中普遍存在,并预测死亡率增加.
- 跨学科合作和患者倡导对于改善这一弱势群体的结果至关重要.
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